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August 26, 2025 17 mins
Dr. Pamela Roshell's Plan for a Healthier Fulton County: Solving Health Deserts & Boosting Community Wellness

Dr. Pamela Roshell is leading a comprehensive effort to transform public health in Fulton County, Georgia. Her strategy is a tailored, holistic approach that addresses the unique needs of communities from North to South Fulton.

Roshell's mission focuses on tackling "health deserts"—areas with limited healthcare access. Through strategic partnerships, like the one with Morehouse School of Medicine, she is establishing new community clinics. These hubs offer essential services, including primary care and preventative screenings, to create a more equitable healthcare system for underserved residents.

Leveraging her background as a former Obama Administration official and Regional Director for HHS, Roshell brings a deep understanding of securing federal funding for innovative, community-based solutions.

A top priority is mental and behavioral health. Roshell is fighting the stigma and lack of access to care through new programs and expanded access points. Her work also directly benefits Fulton County's senior population, with initiatives that improve access to care and promote social engagement to combat isolation.

Roshell believes in a holistic approach to community well-being, recognizing that public safety and the arts are interconnected with health. This 360-degree view helps her create policies that improve the overall wellness of the county's residents.

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Web: https://www.FultonCounty.gov
Call: (404) 612-4000

About: Dr. Roshell, one of the highest regarded experts on health services in the south (and an Obama Administration Presidential Appointee!) – she’d love to talk about how Fulton County is improving quality of life for its residents through developing new clinics in “health deserts,” and working to solve critical health issues for individuals and families in the county’s 15 municipalities (Fulton County extends from cities like Milton, Alpharetta, Johns Creek at the top to Fairburn, Chatahoochee Hills and more at the base of the long county!). This includes behavioral health and mental health, some very important topics these days! She is a delight! Please let me know the coordinates I should share with her, and I should have at least one other person to send you for the following day too...
 
Dr. Pamela Roshell serves as Chief Operating Officer for Fulton County Government, where she provides executive leadership and operational oversight across key service areas including Health and Human Services, Economic Development, Public Safety, and Arts and Libraries. In this role, she manages a broad portfolio of countywide initiatives, directs a large and diverse workforce, and stewards a multi-million dollar operating budget that supports critical programs and services for Fulton County residents. She also ensures alignment with essential community partners, including the Fulton County Board of Health and the Department of Family and Children Services.
 
Since joining Fulton County in 2017, Dr. Roshell has held several senior leadership roles, including Deputy Chief Operating Officer and Director of Senior Services. Her work has focused on advancing innovative strategies to improve service delivery, expand access to care, and strengthen outcomes for vulnerable populations.
 
Prior to her service in county government, Dr. Roshell was appointed Regional Director for the U.S. Department of Health and Human Services, where she oversaw federal health programs across the Southeast. She also held executive roles at the American Association of Retired Persons (AARP), including serving as State Director for AARP Georgia, where she led advocacy, outreach, and program development for more than one million members.
 
Dr. Roshell holds a bachelor’s degree from Columbia College, a Master of Social Work with a concentration in administration from the University of South Carolina, and a Ph.D. in social policy, planning, and administration from Clark Atlanta University.

Ash Brown: Your Ultimate Guide to Inspiration, Empowerment, and Action
Are you searching for a dynamic motivational speaker, an authentic podcaster, or an influential media personality who can ignite your passion for personal growth? Look no further than Ash Brown. This American multi-talented powerhouse is a captivating event host, an insightful blogger, and a dedicated advocate for helping people unlock their full potential. With her infectious optimism and genuine desire to empower others, Ash Brown has become a leading voice in the personal development and motivation space.

Discover the World of Ash Brown: AshSaidit.com & The Ash Said It Show
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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
What of those what ads? Cyber World. It is your girl,
the one and only Ash Brown, and this is the
Ash set it shell. Over twenty one hundred episode since
twenty fourteen, half a million streams all around the world.
None of this is possible without you, guys, So I
thank you so so very much. Today, my esteemed guest

(00:24):
is a very renowned woman. Okay, we're talking today to
doctor Pamela Rochelle. She is one of the highest regarded
experts on health services in the South and an Obama
Administration presidential appointee. Hello, doctor Rochelle, how.

Speaker 2 (00:45):
Are you, Hello, Ash? I am amazing.

Speaker 1 (00:49):
Today, Yes, oh bless and highly favorite. I love it,
I love it. I love it now, Doctor Rochelle, as
a former Obama administration appointee and regional director for HHS,
you have a deep understanding of federal programs. So how

(01:11):
does that experience inform your current work in Fulton County.

Speaker 3 (01:17):
Well, first of all, thank you for having me today.
I am super excited to have this conversation. I have
been passionate about health care and health equity for many,
many years, and that's what my career is built around.
So thank you again. Your question, so, as a presidential

(01:39):
appointee from twenty twelve through twenty seventeen. There were so
many learnings, so many insights and lessons learned, and how
that has really translated at the local level in a
county government structure is the deep understanding about our policy

(02:02):
drives decisions and how to keep your eyes.

Speaker 2 (02:07):
On that policy, not only on the.

Speaker 3 (02:09):
Federal level, but it helps to frame what we do
and what we target on the.

Speaker 2 (02:16):
State level as well.

Speaker 3 (02:17):
And so if you've thought about a pyramid, so to speak,
and you think about federal policy and then state policy,
it allows our commissioners at the very local level to
also craft policy that's in alignment, that puts us in
position for resources, financially, partnerships, and just really doing the

(02:41):
best job that we can in a very collaborative fashion.
So that understanding has really served me well, and it's
really served the county well from a strategic planning in
policy and resource allocation perspective.

Speaker 1 (02:59):
Indeed, and Fulton County is a very large and diverse county,
stretching from Milton to Chattahoochee Hills. How do you tell
how do you tailor the health services and resources to
address those unique needs of the communities.

Speaker 2 (03:20):
Yes, that is a great question.

Speaker 3 (03:22):
The number one component or element of that is data,
really using a data driven approach to frame how we
implement programs and services and decide what we need to do.
The other piece of that with the citizen input. Because

(03:45):
we're at a county level, we have so many opportunities
to engage with constituents to hear what they have to say,
to really understand what their needs are, and so that
would be the second element.

Speaker 2 (03:57):
With the community input.

Speaker 3 (04:00):
The third, I would say, is looking at partners, people
who are already in those communities doing great work and
being very careful not to duplicate, but to enhance and
expand what's being offered and fill in the gaps. And
then the final piece of this is really working with

(04:22):
in a framework. And so in the county, the framework
that we use is the Health Equity Framework, and it's
really the foundation of how we think about approaching health
equity and the social determinants of health. So those would
be the four elements that really drive how we determine

(04:44):
the unique needs of the one million plus constituents in
our county.

Speaker 1 (04:49):
Yes, that is incredible, and as we were speaking before,
you know I'm also a Georgia resident, been traveling a
little bit of here and there, but Fulton County is
definitely a pivotal county of the metro area. So that
is really awesome that you, you know, have really decided
to really hone in on the needs of the community

(05:13):
in that fashion. So I didn't mad to you all.

Speaker 2 (05:18):
Thank you.

Speaker 1 (05:19):
Yes, Now, the concept of health deserts is a critical issue,
all right, and yeah, can we describe the strategy of
perhaps the process behind developing these new clinics and what
specific services they're going to prioritize.

Speaker 3 (05:40):
Yeah, And so building off of the last question, I
spearheaded a study in twenty twenty three to really look
at what the healthcare needs were in the community, using
that data driven approach, looking at existing research, looking at
health data, having conversations with communities and providers alike to

(06:05):
help us better understand how we could address in some areas,
very long standing health equity and health care gaps. And
so out of that research, we were able to develop
a five part strategy that based on that data in
that community input, we were able to see what areas

(06:28):
in the community had little to know clinics or access
points for health care, what areas in the community based
on insurance coverage, which is a bit an access issue,
disproportionate impact, what areas of the community carried more of

(06:51):
the healthcare burden, And so when we looked at few
were no health care providers, limited facilities, barriers to access us,
and disproportionate impact, it.

Speaker 2 (07:02):
Helped us understand where we needed to put.

Speaker 3 (07:05):
For example, our new behavioral health Crisis center stood up
the first behavioral health crisis center in Fullton County, and
the importance of a behavioral health crisis center, especially in
these times, is an access point for mental health care

(07:26):
for constituents with little or no health insurance. So that
data helped us develop that. The data also helped us
understand that many seniors, for example, don't take advantage of
a Medicare benefit that is an annual wellness visit that
helps them plan, that helps them understand their health care status,

(07:49):
and so we placed mobile clinics throughout the community. So
those are some examples of how we use the data
and an example of partnerships with Grady Hospital, a long
standing partner, working with them to understand where we needed
to add primary care.

Speaker 2 (08:07):
Access points in the community.

Speaker 3 (08:10):
As well as a partnership with more House School of
Medicine to reopen a clinic in East Point. You again
provide an access point and more access points for individuals.

Speaker 1 (08:22):
Yes, that's a beautiful thing. Wow, that is a really
an an awesome, awesome way for you all to address
those issues. And given your background at AARP, how are
you specifically addressing the health and wellness needs of Fulton
County seniors in addition to you know what we just

(08:42):
talked about, what you just talked about. Yes, but in
terms of social engagement mm hmm.

Speaker 3 (08:51):
That that is such a great question that I know,
with the thousands of podcasts that you've you've had over
the years, is often a topic you are hearing more
and more about boomers and.

Speaker 2 (09:05):
The aging population, and so services are important.

Speaker 3 (09:09):
These are older adults who have served our community, have
had wonderful careers across their lifespan, and so the county
is certainly committed to providing resources and services for seniors.
And one of the unique offerings that we have are
our multipurpose facilities that offer wonderfully prepared meals, engaging classes,

(09:37):
swim classes, exercise. If you go in there and see
some of them doing boots on the ground and the
latest shuffle and slide. I tell you, it is so
wonderful to see them keeping their mind and body and
their nutrition up because we're offering those types of services.
So that's just one example of the that we continue

(10:02):
to keep seniors engaged through just the network of services
that we offer for seniors from when they're very active
and as they start to get more frill at the
end of that continuum. We also have adult day health services.

Speaker 1 (10:17):
Awesome. Awesome, Yeah, I think that you're absolutely correct. Like
I think sometimes people will glaze over the issues that
some seniors will go through in that later stage in
life and how important it is for engagement, you know,
and like you said, them dancing the boots on the
ground and whatever else might be you know, trending and

(10:38):
you know, getting them up and moving and you know,
getting them feeling good about themselves and in their situation
and in their stage of life, you know, giving what
their mobility issues may or may not be.

Speaker 3 (10:51):
I think it's so important, it's critical, and there's so
much research out there the points to the importance of
thing active and engaged to have this.

Speaker 2 (11:04):
Sense of belonging in your community.

Speaker 3 (11:07):
It just helps the mind, the body, and the soul
to remain active and engaged and in the best health possible.

Speaker 1 (11:15):
Yes, yes, And I want to go back to as
you were speaking earlier about Morehouse the School of Medicine
and that partnership. So I want to talk about that
partnership as far as going into you know, opening up
that new clinic to address the healthcare desert in South Fulton.

(11:36):
What makes a partnership like this so vital and what
role do they play in creating these equitable healthcare systems
in the county.

Speaker 3 (11:48):
So what we look for in any partnership is a
common mission and understanding and commitment of what we're trying
to accomplish. And so Morehouse School of Medicine is a
world renowned healthcare training Some of the best doctors in

(12:11):
the world have been trained there. But they never lost
sight of a commitment to the community and wanting to
ensure that they not only train the best, but they
then provide access points for that service. So it was
just an amazing opportunity to partner with an organization that's

(12:36):
so committed to community.

Speaker 2 (12:40):
Access to care. And so we talked over several months.

Speaker 3 (12:45):
They were a critical component of the Project Care study
that I spoke about, and have just been an amazing partner,
So we were fortunate that we were really wanting to
accomplish the same thing.

Speaker 1 (13:00):
Awesome, Awesome, And of course your role involves a broad portfolio,
including public safety and arts in addition to health. How
do these different areas intersect and how does a holistic
approach to these services improve the overall well being of people.

Speaker 3 (13:23):
So when you think about health care, and again using
that social determinants of health model our lives and when
you think about health in general, there are proponents that
are included in that that aren't just about seeing your physician.

(13:43):
It also matters where you live. It also matters where
you work. It also matters where you have access points
for education. And so many of the programs and services
and departments in my in my portfolio touch on aspects

(14:04):
of social determinants of health, which allows us to leverage
internally resources, allows us to collaborate internally to really get
to where constituents to need help, not just in healthcare,
but for example, if you don't have decent housing, you're

(14:27):
not going to necessarily prioritize going to.

Speaker 2 (14:30):
A routine physical if you don't have proper nutrition. The
same concept. Your life is.

Speaker 3 (14:38):
A total circle and a compilation of many things. And
so in order for you to prioritize health, in most cases,
you need to have the other aspects of your life in.

Speaker 2 (14:53):
Good order as well. And so that is one advantage.

Speaker 3 (14:56):
Of the portfolio that I have is that a program
in my community development department that provides down payment assistance
or rehab for a senior's home can collaborate with Senior Services,
or it can collaborate with the library to.

Speaker 2 (15:13):
Provide education about these programs.

Speaker 3 (15:15):
So it's really an amazing opportunity for internal collaboration and
ultimately impact.

Speaker 1 (15:23):
Yes, now, doctor Rochelle, if people want to get in
contact with you or your team and they've got questions
about anything that we discussed today, what is the best
way for them to reach out?

Speaker 3 (15:37):
So the best way to reach us would be at
four to four sixty one three six thousand, four four
sixty one, three six thousand, okay, And.

Speaker 1 (15:51):
We will put all that information in the description of
this show. Doctor Rochelle, thank you so much for coming through.
We so appreciate you.

Speaker 3 (16:00):
Cool Sprinkles, thank you much for the invitation and I.

Speaker 1 (16:05):
Know that there's going to be new announcements and other
things going on with the county as the year goes on.
As I can't believe you know we're talking about twenty
twenty six just around the corner. I know you believe it,
but I would love for you to come back and
share with us. We love getting this information out to
the community and out to all of our wonderful listeners.

Speaker 2 (16:26):
Loving that well.

Speaker 3 (16:27):
Yes, we are looking forward to those calls and continuing
to be.

Speaker 1 (16:32):
Of service definitely, and I appreciate each and every one
of you, guys. Thank you so much for your love
and support. Keeping in mind. Anyone to tell you that
you can't do what you want to do, you look
them square in the face, you tell them, don't believe me.
Just watch watch what I do, Watch me make it happen,
Watch me make history. That's what we're doing this for

(16:54):
the history books. Social media is nice, but real life
is so much better. Until next time, you guys,
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